HomeMy WebLinkAboutSeptic New 62 High Ridge Road TOWN OF SOUTH WI N DSOR
• BUILDING DEPARTMENT
South Windsor, Connecticut
Application for Permit to Install or Repair Individual Sewage Disposal System
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Application No.
TO THE BUILDING DEPARTMENT: Date_ �,C__19
A permit is requested for repair or construction of an individual sewage disposal system concerning whiclf the
following information is submitted:
1. Owner of Property ell Address of Owner env V -�-f ae s
2. Location of Property ..o Lot. No. `s
3. Type of Structure w e �J Cf o. of Bedrooms
(Dwelling,Cornnficial Building,Store,etc.)
4. Number of Families or Persons to Occupy Premises_
5. Plumbing Fixtures: Water Closets T 2-- Urinals Lavatories Bathtubs
Showers Kitchen Sinks Laundry Tubs Garbage Grinder Other
6. Liquid Capacity of Septic Tank_ 00 Material of Septic Tank Co oa •�r c rY o v�
7. Soil Conditions: Type of Soil X� J Je j S `a/ Maximum ground water table
(Sand, `ravel,Clay,etc.)
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8. If not served by public water supply: Distance from Owner's well Z from adjacent wells
9. Distance to nearest water course, drainage ditch, storm drain or embankment
10. Percolation Tests: Time for 1" drop in soil test J i-j Al Classification of soil
11. Minimum square feet of effective seepage area required
12. Leaching System: Number of trenches Length Width Total .�
Other ; o, /
Signatur
(Licensed Inatalle
(Sketch showing all minimum distances and other details requir ow)
Permit Issued 19 By
Installation Completed, Inspected and Approved 19 By
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r4`r,�»a•t�4 PROPC 'i.Y 1<f.r` _ 3
- HIGH RIDGE .ROAD 1
y SOUTH i:QNNil'
Be i ng Lot tio, on map ent i t !ed 'Plan of ORCHARD" HE I GHTS Av
ery
Street South W i ndsor, Connecticut Scia (o 0' May 20, 1965
Hayden L, Gr i swo I d . C.E. Sheet 2 of. 3" #
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kt :ka:; i' y 1. GfelSI;OLn. C. E.